It was too activating for me and gave increased anxiety and probably exacerbated a mixed episode that I experienced, but it works for so many with BP. I seem to hear people with ADHD take it a lot, so if that's part of the issue, it sounds promising. Everyone is different though. Since it is not an SSRI, my pdoc said it's good for a lot of people with BP, because it usually does not cause mania. I am not sure why it induced mania in me, so who knows.